ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is assessing a client who is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessment should be the nurse's priority?

Correct Answer: A

Rationale: Neurovascular assessment is the priority to detect complications like compartment syndrome.

Question 2 of 5

A nurse is caring for a client who has skeletal traction for a fracture of the lower extremity. Which of the following actions should the nurse take?

A. Remove weights when pulling the client up in bed B. Cleanse the pin sites with hydrogen peroxide C. Inspect the pin sites for infection every 24 hours D. Check the rope for fraying every 8 hours

Correct Answer: C

Rationale: Inspecting pin sites daily for infection (redness, swelling, pus) allows early intervention, preventing complications like osteomyelitis. A. Removing weights disrupts traction, risking misalignment. B. Hydrogen peroxide damages tissue; saline is preferred. D. Checking ropes is secondary to infection monitoring.

Question 3 of 5

A nurse is teaching about safe positioning with the caregiver of a client who has right-sided hemiplegia following a stroke. Which of the following statements by the caregiver indicates an understanding of the teaching?

A. I will ensure their neck is flexed backwards when they're lying on their stomach. B. I will support their feet with a rolled pillow when they are lying on their back. C. I will rest their heels on the mattress when they are sitting up in bed. D. I will use a thick pillow under their head to support the neck.

Correct Answer: B

Rationale: Supporting the feet prevents foot drop in a client with hemiplegia.

Question 4 of 5

A nurse is planning to meet with the interprofessional team about the care of a client who has a new diagnosis of ulcerative colitis. Which of the following recommendations should the nurse plan to make during the meeting?

A. The client should be referred to pain management. B. The client should be referred to hospice services. C. The client should be referred to a wound, ostomy, and continence nurse. D. The client should be referred to a dietitian.

Correct Answer: D

Rationale: Ulcerative colitis is a chronic inflammatory bowel disease that requires dietary management to control symptoms and promote healing, making a referral to a dietitian appropriate.

Question 5 of 5

A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid-base imbalances?

A. Metabolic acidosis B. Respiratory alkalosis C. Metabolic alkalosis D. Respiratory acidosis

Correct Answer: C

Rationale: Excessive antacid ingestion can lead to metabolic alkalosis due to increased base intake.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN